Patients requiring mechanical ventilation Ventilator Associated Pneumonia Oral Hygiene Mouth Mucosa Critical Care Mechanical Ventilation Intensive Care Units
Conditions
Interventions
Twice daily toothbrushing using the Bass technique combined with oral mucosal care using an oral gel moisturizer. The frequency of gel application is adjusted according to the oral health assessment.
Experimental Behavioral,Active Comparator Behavioral
Oral mucosal care program,Standard oral care
Sponsors
Dara Wongkuan
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Patients receiving mechanical ventilation for more than two calendar days 2. Admitted to the Cardiac Care Unit or Intermediate Cardiac Care Unit for at least 48 hours 3. Platelet count greater than 50000 cells per cubic millimeter 4. Able to read write and understand Thai language or have a close relative who can provide information 5. Provide informed consent from the patient or a legally authorized representative
Exclusion criteria
Exclusion criteria: 1. Patients with allergy to products containing fish derivatives or honey flavor 2. Patients with oral wounds or lesions 3. Patients who require reintubation within 24 hours 4. Patients who are mechanically ventilated for less than 48 hours 5. Patients diagnosed with ventilator associated pneumonia prior to enrollment 6. Patients with hemodynamic instability
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean oral health score Daily assessment for seven days of mechanical ventilation Bedside Oral Examination score | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of ventilator associated pneumonia Within seven days of mechanical ventilation or until extubation ventilator associated pneumonia based on clinical criteria and chest radiography | — |
Countries
Thailand
Contacts
Public ContactDara Wongkuan
King Chulalongkorn Memorial Hospital Thai Red Cross Society
Outcome results
None listed